Question 1

can i swim with a lisfranc fracture?

Accepted Answer

Depends: If it is stable and does not need surgery, i would let my patients swim at 4-6 weeks post injury.

Question 2

what are the tests for lisfranc fracture?

Accepted Answer

X-rays, to start: As with any fx, plain x-rays are all that may be needed to make dx.  Interestingly, it is named after a 18th century gynecologist/surgeon. It's fx of one of the three middle metatarsus (foot) bones. Also, interestingly, this type of fracture can occur with simply walking, jogging, particularly in predisposed people (osteoporosis). Diabetics may have it and not know, due to neuropathy-numb feet.

Question 3

how to tell if i have a fractured lisfranc region?

Accepted Answer

Often missed in ER: Swelling, development of clearly asymmetrical deformity in one foot vs the other, pain in the midfoot
definitely need to see your foot surgeon for proper assessment.

Question 4

what are the tests for lisfranc (midfoot) fracture?

Accepted Answer

X-rays all that need: This has been fully answered in prior answer about alisfranc fracture.

Question 5

how often are mild fractures confused with lisfranc fractures?

Accepted Answer

Frequently: Probably 20-50 percent of subtle lisfranc fractures are missed in the er.  Significant swelling, bruising on the bottom of the foot and pain lasting more than 2-3 weeks are indications to seek evaluation from an orthopedic surgeon trained in foot and ankle.

Question 6

orif 6/15 for lisfranc  & nutcracker injuries. diffuse osteopenia in midfoot now. advise hardware removal or would it pose risk of re-fracture? age 44

Accepted Answer

The osteopenia: May be from not using the foot during the rehab period as I'm sure you were in a cast or splint. I would advise checking your bit d levels and pending their result take vit d supplementation based on blood work and also supplement with vitamin k2 and hopefully as you are walking more and more the bone will build up.

Question 7

can you provide some advice for someone who's had a lisfranc fracture?

Accepted Answer

See doctor: A lis-franc injury is a serious condition occurring between the base of the 1st and 2nd rays which if left untreated will affect the way you use your foot and walk.  See a podiatrist or a foot/ankle orthopedist.  Stabilizing the injury usually involves surgery but rehabilitating it afterwards is just as important to regain full function and strength.

Question 8

how long after a lisfranc fracture can walk normally?

Accepted Answer

3-6 months: Lisfranc fractures have a long recovery unfortunately.  I tell my patients it takes 3 months to heal and 3 months to rehab after this injury and surgery.

Question 9

i had a lisfranc fracture - how long will it be before i can bear weight and walk again?

Accepted Answer

6 weeks to 3 months: Lisfranc injuries range from sprains to complete dislocations. Immobilization in cast can take up to 3 months. Stable sprains can be treated nonoperatively but displaced injuries require surgery. Both are treated with nonweight-bearing cast for 6 weeks then progressive weight bearing in removable boot or walking cast for another 6 weeks, advancing as comfort allows. Patients are advanced to a supportive shoe and reconditioning when comfort allows.

Question 10

what can i do other than surgery for the pain associated with a lisfranc fracture that went untreated for seven years?  i have custom orthodics.

Accepted Answer

See below: Sounds like you may  need a midfoot fusion. I would see an orthopedic foot and ankle specialist good luck thank you.

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Doctor answers about:

Can I swim with a lisfranc fracture

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Can i swim with a lisfranc fracture?

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What are the tests for lisfranc fracture?

A member asked:

How to tell if i have a fractured lisfranc region?

A member asked:

What are the tests for lisfranc (midfoot) fracture?

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How often are mild fractures confused with lisfranc fractures?

A member asked:

Orif 6/15 for lisfranc & nutcracker injuries. diffuse osteopenia in midfoot now. advise hardware removal or would it pose risk of re-fracture? age 44

A member asked:

Can you provide some advice for someone who's had a lisfranc fracture?

A member asked:

How long after a lisfranc fracture can walk normally?

A member asked:

I had a lisfranc fracture - how long will it be before i can bear weight and walk again?

A member asked:

What can i do other than surgery for the pain associated with a lisfranc fracture that went untreated for seven years? i have custom orthodics.

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